| NPI | 1861936965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928032) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801100074) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2022-08-15 |